TY - JOUR
T1 - Cigarette smoking among Urban American Indian adults — Hennepin and Ramsey counties, Minnesota, 2011
AU - Forster, Jean
AU - Poupart, John
AU - Rhodes, Kristine
AU - Peterson-Hickey, Melanie
AU - Lamont, Genelle
AU - D’Silva, Joanne
AU - Erickson, Darin
N1 - Publisher Copyright:
© 2016, Department of Health and Human Services. All rights reserved.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2016/6/3
Y1 - 2016/6/3
N2 - What is already known about this topic? Smoking prevalence among American Indians in the Upper Midwest is the highest among all American Indians, and considerably higher than the smoking prevalence of the general population. Little is known about nonceremonial tobacco use among urban American Indians, and surveillance estimates are limited by small sample size, culturally inappropriate data collection methods, lack of attention to ceremonial tobacco use, and exclusion of American Indians who indicate more than one race. What is added by this report? Among American Indians surveyed in Hennepin and Ramsey counties, Minnesota, 59% were current smokers, and 19% were former smokers. Smoking was most common among persons aged 25–44 years (72%). Reports of secondhand smoke exposure were high, including 42% who reported exposure in the workplace. What are the implications for public health practice? Cigarette smoking is a substantial public health problem in this subpopulation. Culturally specific adaptations of strategies that have produced U.S. population-wide declines are needed. These could include engaging traditional healers and respected elders, fostering respect for traditional ceremonial use of tobacco as a reason for not smoking recreationally, and addressing tobacco addiction in the context of social determinants of health specific to American Indians.
AB - What is already known about this topic? Smoking prevalence among American Indians in the Upper Midwest is the highest among all American Indians, and considerably higher than the smoking prevalence of the general population. Little is known about nonceremonial tobacco use among urban American Indians, and surveillance estimates are limited by small sample size, culturally inappropriate data collection methods, lack of attention to ceremonial tobacco use, and exclusion of American Indians who indicate more than one race. What is added by this report? Among American Indians surveyed in Hennepin and Ramsey counties, Minnesota, 59% were current smokers, and 19% were former smokers. Smoking was most common among persons aged 25–44 years (72%). Reports of secondhand smoke exposure were high, including 42% who reported exposure in the workplace. What are the implications for public health practice? Cigarette smoking is a substantial public health problem in this subpopulation. Culturally specific adaptations of strategies that have produced U.S. population-wide declines are needed. These could include engaging traditional healers and respected elders, fostering respect for traditional ceremonial use of tobacco as a reason for not smoking recreationally, and addressing tobacco addiction in the context of social determinants of health specific to American Indians.
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U2 - 10.15585/mmwr.mm6521a2
DO - 10.15585/mmwr.mm6521a2
M3 - Article
C2 - 27253754
AN - SCOPUS:84973548495
SN - 0149-2195
VL - 65
SP - 534
EP - 537
JO - Morbidity and Mortality Weekly Report
JF - Morbidity and Mortality Weekly Report
IS - 21
ER -